Who essential medicine concept
Upcoming SlideShare
Loading in...5

Who essential medicine concept






Total Views
Views on SlideShare
Embed Views



0 Embeds 0

No embeds


Upload Details

Uploaded via as Microsoft PowerPoint

Usage Rights

© All Rights Reserved

Report content

Flagged as inappropriate Flag as inappropriate
Flag as inappropriate

Select your reason for flagging this presentation as inappropriate.

  • Full Name Full Name Comment goes here.
    Are you sure you want to
    Your message goes here
Post Comment
Edit your comment

Who essential medicine concept Who essential medicine concept Presentation Transcript

  • WHO concept of essential medicines Dr. Gyanendra Raj Joshi PharmD, RPh
  • Rational behind Essential Medicine List • Indiscriminate marketing of drugs without considering the health needs • Access of people living in rural areas to drugs • For poor and disadvantaged medicines are : – Unavailable – Unaffordable – Unsafe – Improperly used
  • • The concept of essential medicines A limited range of carefully selected essential medicines leads to better health care, better drug management, and lower costs. • Definition of essential medicines Essential medicines are those that satisfy the priority health care needs of the population.
  • • Essential medicines are intended to be available within the context of functioning health systems – at all times – in adequate amounts, – in the appropriate dosage forms, – with assured quality and adequate information and – at a price the individual and the community can afford.
  • Advantages • • • • • • Limited range High Quality care Better management of medicines More cost effective use of resources Real health gains Increased public confidence
  • • 1977 First Model list published, ± 200 active substances • List is revised every two years by WHO Expert Committee • Latest list in March 2011 (17th edition) containing 350 drugs • 3rd WHO Model List of Essential Medicines for Children
  • • The core list presents a list of minimum medicine needs for a basic health‐care system, listing the most efficacious, safe and cost‐effective medicines for priority conditions. • The complementary list presents essential medicines for priority diseases, for which specialized diagnostic or monitoring facilities, and/or specialist medical care, and/or specialist training are needed.
  • Selection of essential medicines • Two steps: – Market approval based on efficacy , safety and quality. – Evaluation based on comparison leading to a list for different levels of care.
  • • Factors such as – Pattern of prevalent disease, – Treatment facility, – Training and experience of available personnel, – Financial resources – Genetic , demographic and environmental factors.
  • Selection Criteria • • • • • Evidence of efficacy and safety Relative cost effectiveness Pharmacokinetics Availability Desired dosage form, bioavailability and stability ensured • Single compounds , in some cases fixed dose combinations
  • The Essential Medicines Target National list of essential medicines Registered medicines All the drugs in the world Levels of use S CHW dispensary Health center Hospital Referral hospital Private sector S Supplementary specialist medicines
  • Clinical guidelines and a list of essential medicines lead to better prevention and care List of common diseases and complaints Treatment choice Treatment guidelines Essential medicines list / National formulary Training and Supervision Financing and Supply of drugs Prevention and care
  • Practical applications • Basic and in service training of health care providers • Public sector procurement and distribution • Medicine benefits as part of health insurance • Drug donations and international aid • Monitoring systems on availability and pricing • Public education
  • Key policy issues • Access depending on : rational selection, affordable prices , sustainable financing and reliable health systems • Selection linked to standard clinical guidelines • Policies for procurement and supply and health insurance • Systematic and transparent procedure